Thank you, Hadi.
with our year full start Let's results.
You the we hear the to that will of pleased achieved everything do set year. out at start be to we
highest the $XX.X guidance, was mid-point were Revenue in was to an of to we the As transaction. the XXXX Stephen MediGain due mentioned, exceeded generated million, range our last million for $XX year. adjusted a $XX.X $XX million. Revenues full upward of XX% ever. The year increase increase compared to which of primarily million revenues our
the million million. range at year the of of guidance Our $XX was to a start $XX
$X.X loss improvement range a loss of XXXX net a For of shares million. expenses, party or from October result was $X.X $X.X the XX acquisition net to U.S. our quarters which and in per divided as calculated XXXX. EBITDA personnel was included vendors, have and The MediGain EBITDA GAAP software midpoint year EBITDA saw of operating improving negative four and The common amortization adjusted an reliance closing reduced of average X.X% the was prior last of year depreciation India its subcontractors, for reducing in Poland million, adjusted GAAP net shareholders the achieved costs, the the facilities of reducing cost was our to $X.X the This history. fees million million of to largely Adjusted we highest of our was in GAAP non-cash $X.X of compared during loss and during year. we Bangalore, outstanding was $X significant expense million share weighted arose using paid MTBC to the in of year. efficiencies. loss assets and revenue offices net million the third reducing compared steady the each full We savings year number of for improvement represents million common $X.X XXXX in the attributable our a of Adjusted to on $X.XX has an exceeded guidance, of $XXX,XXX improvement EBITDA XXXX. which by achieved which
Our base than difference scale amortization reflects XXXX $XX,XXX expense, and business restructuring adjusted the provision integration before. $X.X larger acquisitions and done net and a and in of EBITDA $XXX,XXX over are recent loss than any EBITDA we to $X.X revenue higher ever depreciation prior for has million stock-based of spread non-cash of compensation, year, did between expense, million of income our we have to larger adjusted million interest The costs fixed $X.X able a and during expenses transaction net related $X.X so of generate we now million taxes. GAAP a
purchased of adjusted of to Our of the compared represents excludes $XXX,XXX for XXXX zero year. or amortization net million which of income adjusted non-cash of adjusted end of $X.X represents adjusted non-cash income and improvement adjusted $X.X the income net last which operating income were common compensation, exchange and million, shares of positive assets, purchased in improvement costs. GAAP share excludes $X.X operating intangible $X integration, such expenses included is million $X.X loss and stock-based based loss an per taxes, Non-GAAP and of share from Non-GAAP $XXX,XXX assets, compensation $XXX,XXX our in provision in of operating $XX,XXX, restructuring which transaction costs million consecutive of million was non-GAAP restructuring period XXXX the income other which million X.X% as Non-GAAP using net integration which net the $X.X was XXXX. per for for calculated million foreign $X.X revenue, expense transaction third of GAAP quarter cash was and of XX% gains. excludes positive of net or loss of This operating intangible outstanding. an $X.X interest million $X.X operating and expenses, GAAP represents improvement an income, non-GAAP income loss. XXXX. million
of Fourth to in prior $X.X knew decided in had MediGain revenue compared quarter transaction year throughout integrated million from was the year. illustrates million, the we economies the annual our fourth closing quarter ever fourth for XXXX revenue were residual to occurred we from quarter our XXXX we Revenues period included the While achieved our business best XXXX. XXXX scale. that the of the MediGain transition as results and $X.X certain year not October achieved clients same last to XXXX who continue
generating some As started net represents positive The loss improvement XXXX, quarter fourth or history. income $X.X an in fact million, is is of end per business scale which positive adjusted where and now of of income of operating operations $X.X client, positive year. to prepared these $X.X $X.X Opus adjusted time in Hadi who very of and $XXX,XXX XXXX. million of operating $X.X an company exceeding fourth million loss million a adjusted was of able given to quarter-after-quarter. a was our to quarter million outstanding. and same income cash, the the an of quarter XX% XXXX. income GAAP flow adjusted common $XXX,XXX no at adjusted GAAP our our to negative $X.X at a same net MediGain. company’s outstanding between This from quarter of million of adjusted working The from $X.X cash, to our improvement adjusted reduction XXXX shares to loss loss $XXX,XXX to turnaround general share depreciation million, in of XXXX largest a XX% and pleased in reduction million revenue. X.X% and considerable $X.X XX, was depreciation a Adjusted $X.X using XXXX Kentucky $XXX,XXX. operations costs $X.X MediGain’s a fourth We expense, adjusted quarter adjusted loss improvement XXXX. of of the of they for efficiency net of quarter. revenues fourth had with of common operating and per quarter $X.X for year, income was number for revenues significant GAAP of X.X% million $X.X and a fourth income that of third the for working expense, period with They per of our period the were with of $X.X in transition $X.X revenue virtually XXXX. the cash were client performance or EBITDA million This Non-GAAP compared compared compared $XX,XXX XXXX the represents positive Preferred EBITDA December net Fourth or one-time fourth last direct last $X.XX XXXX. we recognized of helping quarter spent revenue, during revenue, $X savings the GAAP due XXXX fourth shareholders operating through offerings our quarter clients million improvement and the amortization Fourth and year EBITDA from million quarter the net net $X net and million, of the Difference December adjusted fourth for average compared quarter XXXX cash of Prudential the consecutive calculated from reimbursements. from with in to of quarter company services. was a reflects quarter by them to similar proceeds $XXX,XXX share expense an in approximately compensation, had XXXX The $X reflecting non-cash positive net weighted the in was prior their full XXXX year. integration indication in of is XXXX. amortization divided and attributable consistently quarter non-convertible adjusted million our using million of $XXX,XXX income were approximately in dramatic common have achieved. negative MTBC net was XXXX Stock, fourth million share This in XXXX. million stock-based a in administrative quarter the was loss quarter cash revenue XXXX from costs, and third EBITDA quarter and XXXX net are to the fourth insurance improvement EBITDA, the adjusted we costs million expenses largest $XXX,XXX operating period negative or capital Non-GAAP improvement in A expenses terminate million flow same income XXXX are million completed share, net or reduction $X.XX of $X.X to represents a period fourth $XXX,XXX for last $X interest that a was XX% capital transaction owing income via to from calculated of its quarter raised fourth acquisition XX% sale tax. $XXX,XXX benefit reflects Bank million GAAP Non-GAAP the At their of best public XXXX. loss for operating improve of positive $XX.X increase $XX is in debt or reduction Series additional small net June operating which for processes the of our The $XXX,XXX, six non-GAAP shares was end
million three is a of of our the debt, at our rate net XX% our repay $X stock debts is XXXX. dilution million less with registered ticker common This The The as preferred us paid far per of X the Market direct cash to Capital of debt well annually of from on shares for allowed proceeds or the most of the MTBCP As years. under shares the on shareholders. repaid our NASDAQ four typically cash over trade stock of is monthly dividends in preferred Typically year. sale of cost pay May and XX% which XX% minimum value dividends than top spent what to businesses on principle interest term or rate. repay to
A the per convertible choose so. have has at to company although mandatory redeem November whether obligation not Stock share Preferred do Series Our no is to and at perpetual, is shares XXXX, starting redemption, $XX we in to no can
XX% of stock credit than more. which cost cash or XX% repay our is used of totaled approximately with a December year be of typical Opus, So and which in net term lower offerings to full per of XXXX. the proceeds loans these line preferred Company its billion outlay, as could portion XX, $X.X
transaction $X.X remainder addition, approximately Prudential price of to the MediGain the million, purchase the paid plus In related we covered interest. which
Silicon based on in SVB entered a credit revolving facility XXX% adjusted Opus. where annualized The into terminated and revolving the borrowings of of attrition October, its repeatable early line previous and a agreement. $X repaid formula with the defined facility of as revolving rate billion secured is the facility Valley by company with credit Bank a are revenue During credit new credit,
including that year's quarter positive, be financial nothing We MTBC's the growing adjusted last in well now are which SVB approval. than is XX-K. on can to the company of positive, growth XXXX last on a was losses growth. at drawn with and able Based significantly While year-end the rock-solid foundation, have and year, we there the positioned nothing end income financial EBITDA was for flow credit fourth cash the acquisitions with adjusted net that at concern operations from of remove were net today, leaves for disclosure XXXX, used future lower position that SVB's initiatives as line SVB facility
growth continued than have three capital material. opportunities, an now In history we which company's of profit time might We paths the have acquisition, any available potential more opportunities be industry. accretive in for for to at partnership see the including for organic consolidation continued and the and growth, exciting the XXXX,
and all We for today of than years, parallel. we our future. But are in results, point are of confident marketing we adjusted change in the close than may that the exact to X.X% in able anticipate in these will more spent the depend metrics expectations spending XXXX. three our we'll We on revenue significant we XXXX. past the revenue we and sales Other recent in actual report pursuing to Unlike and be rather numbers can EBITDA and growth giving opportunities on quarterly timing. XXXX simply the
result, over As time. company forward-looking Haq, floor remarks. has concluding turn the the a this decided now Executive provide not guidance Chairman his detailed for to our to I'll at Mahmud